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1.
Sexual assault is an insidious problem in the United States military. In 2005 the Department of Defense (DoD) created the Sexual Assault Prevention and Response Office, which centralizes responsibility for sexual assault training. However, this training initiative has undergone little evaluation by outside researchers. Addressing this need, we analyzed responses from over 24,000 active duty personnel who completed the 2010 DoD Workplace and Gender Relations Survey. We assessed whether sexual assault training exposure (None, Minimal, Partial, or Comprehensive) predicted accurate knowledge of sexual assault resources and protocols. Using a social-ecological framework, we investigated whether institutional and individual factors influenced Service members’ training exposure and judgment of training effectiveness. According to our results, exposure to comprehensive training predicted lower sexual assault incidence and superior knowledge. However, comprehensive training differed as a function of military branch, rank, gender, and sexual assault history. Judgments of training effectiveness also varied across these dimensions. Our results highlight the importance of considering context, gender, and victimization history when evaluating institutional efforts to end sexual violence. The DoD’s 2010 annual report on military sexual assault concluded that “most Active Duty members receive effective training on sexual assault” (p. 104). Our results cast doubt on that assertion.  相似文献   

2.
    
ABSTRACT

Military sexual trauma (MST) is associated with a range of negative mental and physical health outcomes. Investigations of potential sex-based differences in outcomes in MST survivors have been inconsistent with little work evaluating psychosocial correlates of resilience (e.g., social support, humor, capacity to adapt to change). Data were analyzed from 115 U.S. Veterans reporting a history of MST who participated in the nationally representative National Health and Resilience Veterans Study (NHRVS) to examine sex-based correlates of risk and resilience. Compared with female MST survivors (= 56; 42.9%), male MST survivors (= 59; 57.1%) reported increased lifetime traumatic events, hostility, and history of drug use disorder, whereas female veterans reported increased lifetime PTSD symptoms. There were no differences in past-month PTSD symptom severity, physical health, suicidal ideation/attempts, resilience factors, or rates of mental health treatment utilization. Results suggest male and female MST survivors may have differential risk for drug use disorder, hostility, and PTSD symptoms. Results further underscore the importance of considering sex differences in the assessment and treatment of MST survivors. Improved understanding of outcomes and factors of risk and resilience in MST survivors may facilitate tailored intervention, treatment, outreach, and possibly prevention.  相似文献   

3.
    
Betrayal traumas (Freyd, 1996), abuses that violate trust or dependency, predict numerous negative outcomes, including dissociation and revictimization (DePrince & Freyd, 2007; Gobin & Freyd, 2009; Goldsmith, Freyd, & DePrince, 2012). No previous empirical research examines the relation between betrayal and sexual health, including dissociation during sex. This article addresses this gap with 2 studies, which provide support for a multiple mediation model where high betrayal in childhood predicts worsened sexual communication in adulthood through trait dissociation and sexual dissociation in serial. In both studies, the direct path between betrayal and sexual communication was nonsignificant; only when accounting for trait dissociation overall and sexual dissociation in particular does childhood betrayal predict diminished communication with sex partners in adulthood.  相似文献   

4.
This study considers links between the number of types of violence to which women have been exposed, depression, and executive functions (EFs). Substantial research has established EF deficits among depressed individuals as well as individuals exposed to trauma. Studies have also indicated a relationship between trauma exposure and depressive symptoms across a range of traumatic events, such as combat exposure, motor vehicle accidents, natural disasters, and assaults. This study examines this relationship in an ethnically diverse community sample of 93 women exposed to interpersonal violence who completed a battery of EF tasks that assessed processing speed, working memory, response inhibition, and set shifting. Women reported an average of 5.8 types of interpersonal violence events. The number of types of interpersonal violence events was significantly related to depressive symptoms, although not EF performance. Specific EFs, such as working memory and response inhibition, were positively related to depressive symptoms.  相似文献   

5.
    
This study into female sex offenders examines the links between their sexual acting out and traumatic life events. The methodology is based on an analysis of 35 court cases involving females convicted of sexual abuse alongside semistructured interviews recorded with 13 participants. NVivo® software was used to analyze the data thematically, whence four key themes emerged (a desire for power, sadism, extreme anger, and the quest for self-affirmation); these themes fall into a typology that highlights the different contexts and characteristics of the sexual abuse. The results also highlight a traumatic context during childhood and adolescence that is likely to have formed the basis for the development of the deviant sexual behavior and the fact that all the women acted in collusion. The discussion on the results suggests that assessing and analyzing the needs of these women should focus in particular on the relationship between the current sexual acting out and a personal biography filled with traumatic events.  相似文献   

6.
The process of the unconscious transmission of trauma between generations has been written about within the psychoanalytic field since Freud. the concept was further developed by psychoanalysts in their work with second generation survivors of the Holocaust. the particular characteristic is that it is a transmission that takes place silently and in secret, but actively. It is especially found in families where there is an inhibition against thinking. It is suggested in this paper that the concept could be usefully considered in families where a parent is a survivor of child sexual abuse but has kept the trauma a secret. Clinical examples illustrate how children in such families may carry the unconscious dynamics which can emerge into consciousness through symptomatology in the child.  相似文献   

7.
    
Distress tolerance (i.e., perceived or actual capacity to tolerate aversive internal states) has received considerable research attention as a transdiagnostic risk-factor underlying the development and maintenance of psychopathology. Lower levels of emotional distress tolerance have been linked to psychopathology (e.g. Posttraumatic Stress Disorder) within Military populations; however, the association of physical distress tolerance to psychopathology in this population has been under-researched. This research gap may be due in part to a paucity of comprehensive, temporally stable and brief measures of distress tolerance that have been validated within Military populations, which may hinder further examination and refinement of the construct. Addressing this problem, the current study evaluates the psychometric properties of a novel and brief measure of emotional and physical distress tolerance in a sample of United States post-9/11 Veterans. Participants were 307 Veterans (Mage = 38.9, 67.7% male) who completed the 10-item Distress Tolerance Inventory at baseline and annual follow-up. Exploratory structural equation modeling was used to examine the optimal latent factor structure and longitudinal invariance of the DTI measurement model, along with correlational analyses to examine the convergent properties of the DTI subscales. The DTI reflected a longitudinally invariant two-factor structure (emotional and physical distress tolerance), with excellent internal consistency and preliminary evidence of convergent validity. Thus, the DTI represents a brief, reliable and temporally stable measure of physical and emotional distress tolerance.  相似文献   

8.
Female mice of strains selectively bred for aggressiveness or nonaggressiveness were injected with testosterone propionate (TF′) at the age of 2 days and as adults, or they were injected as adults only. Aggressive and sexual behavior was then tested with female, receptive female, and male partners before, during, and after the latter TP treatment. The females that had received both TP treatments displayed as much or as little aggression as males of the same strain, leading to the conclusion that aggressiveness genes are not linked with the male sex chromosome, even though they depend on it for their expression. The sexual behavior of the females of both strains that had received both TP treatments was altered to the male type. In the females of the aggressive strain even adult treatment alone was sufficient for this change. Aggressiveness and male sexual behavior would seem to be determined separately, although aggressiveness facilitates the display of male sexual behavior.  相似文献   

9.
10.
SUMMARY

Negative attitudes about sex and sexuality and many types of sexual dysfunction are common aftereffects of sexual child abuse and incest. The traumatic sexualization and the aversive sexual conditioning resulting from childhood abuse have long gone unrecognized, however. This article presents research findings regarding the impact of incest on sexual attitudes and functioning along with treatment recommendations.  相似文献   

11.
SUMMARY

The rise of the conscious feminine in the world is welcome and overdue. However, the change in the balance of power between men and women in relationship is presenting the need to develop a better understanding of the archetypal characteristics of the masculine and feminine as well as the differences between men and women. This article explores some of the developmental differences, the maintenance of mutuality and learning connecting skills.  相似文献   

12.
    
The phenomenon of an erotic transference has long been a difficult, if not mysterious, process within clinical psychoanalysis. Traditionally, the development of an erotic transference has been viewed as a negative clinical event fueled by the analyst's countertransference reaction. A much neglected dimension, the relationship between childhood seduction and the development of an erotic transference, will be introduced and examined. In three clinical cases our data suggest that actual sexual abuse in childhood is a causal factor in the manifestation of an erotic transference in the clinical interaction of an analysis.  相似文献   

13.
Veterans with military sexual trauma (MST) are at risk for a variety of psychiatric conditions, including posttraumatic stress disorder (PTSD) and depression. Survivors of MST are also likely to experience diminished quality of life (QoL). Individuals with higher lifetime incidence of sexual trauma may also be at increased risk for poorer outcomes in QoL and psychiatric symptomatology. The differences in psychological sequelae among those who have experienced sexual trauma as children, and those whose sexual trauma exposure is limited to adulthood are relatively understudied. The majority of sexual trauma literature has focused primarily on civilian trauma, and comparatively few studies have specifically examined psychosocial sequelae (e.g., QoL) in veterans with MST. This study examined how childhood sexual abuse (CSA) affects overall QoL as well as severity of PTSD and depressive symptoms. Veterans who reported CSA had significantly greater depression symptom severity than veterans who did not. No significant differences in PTSD symptom severity or QoL were found between veterans who did and did not report CSA. Results highlight the need for further examination of the relationship between CSA and depression in veterans with MST-related PTSD who also report CSA.  相似文献   

14.
    
Negative physical and mental health outcomes are well documented for those who experience child sexual abuse. We explore the role of three types of dispositional forgiveness (of self, of others, and by God) as effect modifiers of the child sexual abuse and life satisfaction relationship. In 2010–2011, a sample of 5,506 Seventh‐day Adventists reported levels of forgiveness, life satisfaction, and whether or not they had experienced sexual abuse in each of the two age periods (younger than 8 years and 8–18 years). Reported experience of childhood sexual abuse lowered life satisfaction regardless of when the child sexual abuse occurred. Forgiveness of self and of others were associated with higher life satisfaction regardless of sexual abuse exposure. Feeling forgiven by God was associated with increased life satisfaction indirectly through forgiveness of self and others. However, for those abused later in childhood, the association of abuse with reduced life satisfaction was weaker for those who felt forgiven by God. These findings suggest forgiveness by God operates primarily through forgiveness of self (and others) but can also buffer the effects of childhood sexual abuse on later life satisfaction when the abuse occurs in childhood/adolescence.  相似文献   

15.
ABSTRACT

Few studies have focused on the prevalence and extent of childhood trauma in the transsexual population. In our study of 42 transsexual people (34 = natal males, 8 = natal females), 55% (n = 23) reported experiencing an unwanted sexual event before the age of 18, with the average age of initial sexual contact being 13. This sexual event differs from other clinical populations in that the unwanted sexual experiences in this sample were the consequence of adolescents satisfying their curiosity about the gender of the transsexual rather than for their own sexual gratification. Consequently, the sequalae of the unwanted sexual touches in our sample did not lead to sexualised behaviours described in the sexual abuse literature of clinical samples. Our sample also reported being: verbally abused (77%), insulted (81%), embarrassed in front of others (55%), made to feel guilty by their parents (58%) before their fifteenth birthday.  相似文献   

16.
    
《Behavior Therapy》2023,54(5):863-875
Prior work implicates sleep disturbance in the development and maintenance of posttraumatic stress disorder (PTSD). However, the majority of this literature has focused on combat veteran men, and limited work has examined links between sleep disturbance and PTSD symptoms in sexual assault survivors. This is a notable gap in the literature, as sexual trauma is disproportionately likely to result in PTSD and is more common in women. We sought to examine the relations between subjective sleep disturbance, sexual assault severity, and PTSD symptoms in a sample of sexual assault survivors with PTSD (PTSD+), without PTSD (PTSD-), and healthy controls. The sample (N = 60) completed the Insomnia Severity Index and prospectively monitored their sleep for 1 week using the Consensus Sleep Diary. The sexual assault survivors also completed the Sexual Experiences Survey and PTSD Checklist-5. Results of group comparisons found that the PTSD+ group reported significantly higher insomnia symptoms, longer sleep onset latency, more nocturnal awakenings, and lower sleep quality compared to the healthy control group and higher insomnia symptoms compared to the PTSD- group. Results of regression analyses in the sexual assault survivors found that insomnia symptoms and number of nocturnal awakenings were significantly associated with higher PTSD symptoms, and sexual assault severity was significantly associated with higher insomnia symptoms, longer sleep onset latency, and lower sleep quality. These findings highlight specific features of sleep disturbance that are linked to trauma and PTSD symptom severity among sexual assault survivors.  相似文献   

17.
    
《Women & Therapy》2013,36(1):53-60
Obesity as a psychological and physical disorder that affects women is discussed and evaluated. Dilemmas for women that are obese are synthesized and implications for therapists counseling obese women are discussed.  相似文献   

18.
    
While most of the research on childhood sexual abuse has rightfully focused on negative outcomes, it is worth understanding how some individuals can thrive after experiencing trauma. A conceptual model of post-traumatic growth proposes that individuals can experience positive changes post-trauma through the process of recovery. The model incorporates social, psychological, and cognitive factors to describe the process of post-traumatic growth, and studies have provided empirical evidence in support of the model among adult and child survivors of diverse types of trauma. However, we contend that the model is insufficient to describe the post-traumatic growth among child survivors of sexual abuse and therefore present a revised model of post-traumatic growth that considers attachment style, gender, and time since trauma. The implications for research and clinical interventions are discussed.  相似文献   

19.
    
Processing the trauma of sexual assault is a complicated and often prolonged process that may occur both within and outside a formal psychotherapeutic context. The second author describes an undergraduate class that explores various aspects of sexual assault, followed by a paper written by a female student in which she describes how the class impacted her intellectual understanding of and emotional reactions to her own sexual victimization as a high school student. Finally, the authors discuss the concept of “working through” as it applies to recovery from sexual assault, and they propose that a didactic course experience, even if not designed as a therapeutic enterprise, may nonetheless serve such a function.  相似文献   

20.
Although there are indications that opposing claimsabout the effects of childhood sexual abuse uponmemory have moderated over the last decade, thisdebate continues in an altered form: comparisons ofthe accuracy of continuous and non-continuous memoriesand the distinctions drawn between different forms ofamnesia have taken centre stage. Non-continuousmemories appear to have replaced ``repressed'memories and have been rendered pathological. It isargued that before expert evidence can go beyond thepresentation of these adversarial points of view inthe courtroom, resolution and understanding of theconcepts of amnesia and recovered memory experienceare required.  相似文献   

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